HELENA NAOMI PHAM CNP
NPI 1134876139
Nurse Practitioner in Malden, MA

Active since March 09, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, Mar 9, 2022 (2 updates tracked since 2022).

About Helena Naomi Pham Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HELENA NAOMI PHAM CNP (NPI 1134876139) is an individual nurse practitioner in Malden, Massachusetts, licensed in Massachusetts (RN2361253) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and maintains a secondary practice location in Reading.

NPPES Registry Identity

NPI1134876139
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHELENA NAOMI PHAMCredential: CNP
Location Address578 MAIN STMalden, MA 02148-3900
Mailing Address578 Main StMalden, MA 02148-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 9, 2022
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
NPI 1134876139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MA · RN2361253 Licensed in TN · 31308
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2361253 (MA), 248385 (TN)
578 MAIN ST, Malden, MA 02148

Secondary Practice Location 1

Location 12 Haven StReading, MA 01867-2958 · Phone (781) 944-6249

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Helena Naomi Pham Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072992650
PECOS Enrollment IDI20220628002970
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services69 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Instrument Specialist
578 MAIN ST, SUITE 101
MALDEN, MA 02148
Dentist
578 MAIN ST
MALDEN, MA 02148
Family Medicine
578 MAIN ST
MALDEN, MA 02148
Dentist
578 MAIN ST
MALDEN, MA 02148
Nurse Practitioner
578 MAIN ST
MALDEN, MA 02148
Family Medicine
578 MAIN ST, HALLMARK HEALTH MEDICAL ASSOCIATES INC
MALDEN, MA 02148
Clinic/Center (Dental)
578 MAIN ST
MALDEN, MA 02148
Family Medicine
578 MAIN ST, HALLMARK HEALTH MEDICAL ASSOCIATES
MALDEN, MA 02148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Helena Pham's NPI number?

The NPI number for Helena Pham is 1134876139. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Helena Pham located?

Helena Pham practices at 578 Main St, Malden, MA 02148. The listed phone number is (781) 620-4832.

What is Helena Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Helena Pham enrolled in Medicare?

Yes. Helena Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Helena Pham accept?

Health plans from Anthem Blue Cross and Blue Shield list Helena Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Helena Pham affiliated with any hospitals?

According to CMS data, Helena Pham is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Helena Pham was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.